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Measuring Health and Wellness Tourism in the Philippines by Romulo A. Virola and Florande S. Polistico
For additional information, please contact: Author’s name Designation Affiliation Address Tel. no. E-mail Co-Author’s name Designation Affiliation Address Tel. no. E-mail : : : : : : : : : : : : Romulo A. Virola Secretary General National Statistical Coordination Board 403 Sen. Gil Puyat Avenue, Makati City (0632) 895-2395 firstname.lastname@example.org Florande S.Polistico Statistical Coordination Officer I National Statistical Coordination Board 403 Sen. Gil Puyat Avenue, Makati City (0632) 896 -7981 email@example.com
1 Measuring Health and Wellness Tourism in the Philippines
by Romulo A. Virola & Florande S. Polistico 2
ABSTRACT The Philippine government has recognized the potential of the Health and Wellness Tourism industry in job creation and in spurring economic growth. To be able to monitor the contribution of this emerging economic sector to national development, obviously statistics are needed. However, currently the Philippine Statistical System (PSS) does not generate the necessary information that can provide a meaningful assessment of the health and wellness tourism industry. This paper presents the initial efforts of the PSS in the measurement o f this sector, with special focus on its relationship with the national income accounts, particularly with the Philippine Tourism Satellite Accounts (PTSA). It shows how the sector can be articulated as a subsector of private services under personal and medical services. The paper also shows how the health and wellness services can be highlighted in the PTSA as part of the tourism -characteristic industries. The paper further explores the existing statistical data generated by the different institutions in the PSS and proposes recommendations to make their data collection schemes respond to the requirements of measuring health and wellness tourism. Finally, it demonstrates the coordination and collaboration mechanisms that have been put in place in the PSS with the participation of the private sector to facilitate the generation of health and wellness tourism statistics. Keywords: health and wellness tourism, national income accounts, tourism satellite accounts, personal and medical services, tourism-characteristic industries.
Introduction Many countries, including the Philippines have recognized the potential of health and
wellness tourism for economic growth. In its efforts to promote tourism, the Department of Tourism (DOT) has noted the country’s compara tive edge in health and wellness tourism due to abundance of natural resources, unique Filipino healing practices, fluency in the English language and competitive cost. The DOT (2007) has therefore targeted to position the country as the health and wellness destination in Asia. Indeed, the Republic of the Philippines (2007) has recognized that health and wellness is one of the major sectors for economic growth and has formulated a private sector-driven master plan for the
Paper presented during the 10th National Convention on Statistics at the EDSA Shangri-la Plaza Hotel, Mandaluyong City, Philippines on 1-2 October 2007. 2 Secretary General and Statistical Coordination Officer I, respectively, of the National Statistical Coordination Board. The views expressed in this paper are those of the authors and do not necessarily reflect the views of the NSCB. The authors acknowledge the assistance of Vivian R. Ilarina, Cynthia S. Regalado, Regina S. Reyes, Ar yl G. Zaguirre, Diana Christine O. m Lizarondo and Noel S. Nepomuceno in the preparation of this paper.
The coverage of the PTSA must therefore be expanded to fully and more reliably measure the economic contribution of tourism. such as health and wellness tourism. In support of the MTPDP. in addition. there is a need to generate tourism statistics on a sustained manner in order to enhance the effectiveness of the PTSA as a tool in the formulation and monitoring of the tourism program of the country. Value Added of Tourism Industries (VATI) was estimated at 200 billion pesos in 1994 and 334 billion pesos in 1998.development of this service industry. (2001) estimated the total tourism expenditure in the Philippines at 140 billion pesos in 1994 and 274 billion pesos in 1998. 3 The Medium Term Philippine Development Plan (MTPDP) 2004 – 2010 also seeks to enhance and promote health tourism. together with other tourism products. . et. Based on the Philippine Tourism Satellite Account (PTSA). representing 12% and 13 % respectively of the country’s Gross Domestic Product (GDP). Virola et. al. the Philippine Statistical Development Program (PSDP) 2005 – 2010 has included the development of data systems to generate indicators on medical tourism among the statistical activities to be undertaken in the medium term. there is a need for a greater articulation of tourism aspects considered important in the Philippine setting. Virola. (2002) recognizes that the preliminary results of the PTSA are limited in scope and coverage due to data constraints that hinder the analysis of the link between tourism consumption and the supply of tourism goods and services. translating to an average annual increase of 11 %. Most importantly. However. al. 3 Proclamation 1280 also declares October as National Health and Wellness Tourism Month.
the National Income Accounts and the Philippine Tourism Satellite Accounts The Philippine System of National Accounts (PSNA) consists of a coherent and integrated framework that measures stocks of resources and flows of goods. the PTSA consists of ten tables that correspond partially to the ten tables prescribed by the TSA:RMF (2000) as shown in Annex 1. However. Spain while the second author attended the Expert Group Meeting on Tourism Statistics in New York in June 2007. Health and Wellness Tourism Statistics. At present. . While using complementary or alternative concepts. classification systems and accounting frameworks. The PSNA is compiled using internationally accepted guidelines. The PTSA aims to demonstrate the output of tourism industries vis-à-vis the consumption expenditures of visitors. the PTSA has limitations that need to be addressed. income and other economic instruments that emanate from using these resources or as consequence of economic flows. Moreover. services. the frequency and distance dimensions of the concept of usual environment need to be defined more explicitly 4 The principal author attended the 1998 World Conference on the Measurement of the Economic Impact of Tourism and the 2006 International Workshop on Tourism Statistics in Madrid. The NSCB has compiled satellite accounts on the environment. This is done thru satellite accounts. tourism and health and has started work on science and technology/research and development. The PTSA provides additional information for tourism concerns not present in the central national accounting framework. the PTSA is consistent and is fully linked with the PSNA.II. education. One of the flexibilities offered by the 1993 SNA is the expansion of the analytical capacity of national accounting for selected areas of concern without overburdening the central framework. as pointed out earlier. It can be noted that the PTSA does not have information on outbound tourism. while the Philippines thru the NSCB and the DOT are actively involved 4 in the UN-WTO efforts to promote and improve the compilation of tourism satellite accounts. the latest of which is the System of National Accounts or SNA (1993).
The PTSA also does not have information on outbound tourism. Information on the sector has to be collected and disseminated in a more timely manner. domestic travels. This will then provide a statistical tool for assessing the impact of the health and wellness industry in the . the borderline between characteristic and c onnected goods and services has to be drawn more clearly and the data support and/or the methodology for the estimation of expenditures of same-day visitors. there is nothing in the current PTSA or PSNA that can provide an explicit characterization of health and wellness tourism as a component of the Philippine economy. not one of the ten tables generated under the current PTSA shows information specifically on health and wellness tourism.in operational terms. household expenditures on behalf of tourists. under two subsectors: Personal Services and Medical Services. However. Health and wellness tourism is “hidden” somewhere under Personal Services or Medical Services of the PSNA. must be strengthened. The PTSA tables have data only for categories that are explicitly listed among the tourism-specific industries. The measurement challenge for the PTSA is to be able to identify and separate tourism-characteristic industries from the rest of the industries comprising the economy. primarily due to data constraints. In order to be able to highlight the health and wellness tourism industry. etc. Health and wellness tourism is of course a component of the PTSA and the PSNA. and the services provided by these establishments are covered by the PSNA under Private Services more specifically. Establishments engaged in health and wellness tourism are part of the tourism characteristic industry. the goal therefore is to separate it statistically from the rest of the tourism-characteristics industries. On the other hand. whether characteristic or connected.
Bangko Sentral ng Pilipinas and the Philippine Institute of Development Studies. 372 was issued creating a public-private sector task force (PPP TF) for the development of globally competitive Philippine service industries. In order to address statistical issues on the emerging health and wellness tourism industry. On 22 October 2004. among others. investments and consumption. the NSCB has 11 interagency committees. foreign exchange earnings. chaired by the NSCB. The TF. The IAC-TrS is chaired by NEDA Deputy Director General Margarita R. Executive Order No. . DOT. National Statistics Office (NSO).Philippine economy. clientele served by origin (residents and nonresidents). Songco. One coordination mechanism that the NSCB uses is the creation of interagency/technical committees and task forces5. III. is composed of representatives from the Department of Health (DOH). Department of Trade and Industry. the NSCB created the Interagency Committee on Trade Statistics (IAC-TrS) in March 2004. 2007. In recognition of the importance of trade 6 in the Philippine economy. In 2004-2006. Trade comprised almost 17 % of Philippine GDP in constant prices. National Economic and Development Authority. The PPP TF created a Committee on Health and Wellness which identified four clusters of health and wellness development for promotion purposes: hospitals. value added. Efforts of the Philippine Statistical System (PSS) in Measuring Health and Wellness Tourism The PSS is a decentralized system with the National Statistical Coordination Board (NSCB) as the agency tasked with the coordination function. the IAC-TrS created the interagency Task Force on the Measurement of Healthcare and Wellness/Medical Tourism Services (TF) in July 2006. 6 technical committees and 5 task forces. Department of Foreign Affairs. specialty 5 6 As of September 7. such as on employment and revenue generation.
b) cost by expenditure items. Definition As defined by NSCB (2007). wellness and spa centers and retirement/elderly care homes. 3. other human health services.1. among others: a) total revenue by client (resident or nonresident) and by type of health and wellness service 9.18.clinics. Under the PCPC. social services with accommodation. . medical and dental services. c) number of clients (resident or nonresident). The specific health and wellness services covered by each of the four clusters were determined through the 2002 Philippine Central Product Classification (PCPC). The survey questionnaire (Annex 2) was designed to estimate the following. d) employment and e) number of establishments. which is patterned after the United Nations Central Product Classification Version 1. health and wellness tourism refers to the activities of persons traveling to and staying in places outside their usual environment for not more than one consecutive year for health and wellness purposes not related to the exercise of an activity remunerated from within the place visited. the establishments providing these services were classified according to the 2004 Philippine Standard Industrial Classification (PSIC) patterned after the International Standard Industrial Classification Rev. physical and well-being services and other beauty treatment services. these are hospital services. On the other hand. drafted a questionnaire for a pilot survey of health and wellness tourism industry but excluding for the time being the cluster on retirement/elderly care homes and conducted a consultation workshop with stakeholders7. The DOT (2007) associates it with travel 7 8 9 The workshop held on 18 April 2007 was jointly sponsored by the NSCB and the DOT The NSCB is now working on the 2007 PSIC. nec. Working on this clustering the NSCB TF has come up with a proposed definition of health and wellness tourism.
2) PSIC Group 853 or Social Work Activities. not all activities falling under these 3 -digit PSIC classifications are health and wellness tourism. Data Requirements of Health and Wellness Tourism The biggest issue confronting the PSS in the measurement of the emerging health and wellness tourism industry is the appropriateness and responsiveness of the existing data monitoring systems. and 3) PSIC Group 930 or Other Service Activities. Evaluation of Existing Data Collection vs. 10 Based on the Health and Wellness Tourism Classification (Annex 3) . Wellness and Spa Centers could be found under PSIC Group 930 while the cluster on Retirement and Rehabilitative Care belongs to PSIC group 853. dietary control and medical services relevant to maintenance. Going down to the 5 -digit level will refine the scope and coverage but there still remain activities which cannot be classified as health and wellness tourism. we could identify three groups of activities under which Health and Wellness Tourism activities fall (Table 1). Obviously. IV.to health spas or resort destinations where the primary purpose is to improve the traveler’s physical well being through a regimen of physical exercise and therapy. These are 1) PSIC Group 851 or the Hospital Activities & Medical and Dental Practices. Scope And Coverage From the 3 -digit level of the PSIC. In order to meaningfully quantify the impact of Health and Wellness tourism in the economy. it is desirable to gather the following data. among others: 1) outputs and 10 Annex 3 comes from the Preliminary Draft of the Medical Tourism Project Terminal Report . the cluster of Hospital Care and Treatment as well as Specialty Clinics belong to the PSIC group 851.
The A/D cards which are processed by the DOT provide information on purpose of travel which includes “health/medical reason” as a category of the purpose of travel. Towards quantifying health and wellness tourism. 2) Visitor’s Sample Survey (VSS) . It also asks questions on actual expenditures incurred . 4) per capita visitors’ consumption expenditure on health and wellness. 2) revenues derived from resident and non-resident users of health and wellness services. such as distinguishing between resident and nonresident clients. d) lack of familiarity with classification systems and e) separation of medical from nonmedical employees. the following issues/concerns/suggestions came up: a) coverage should be extended to traditional (informal. unorganized) providers of health and wellness services. The forum successfully solicited the commitment of the participants both from government and the private sector to support the data collection efforts that will be undertaken in the future. the possible data sources include the following: 1) Arrival/Departure (A/D) Cards. c) difficulty in providing cost estimates. 3) employment and compensation. During the consultative forum. The consultative forum sought to assess the feasibility of the survey/monitoring form to capture the needed statistics and indicators for the sector. One category under purpose of travel in the VSS is health reason s. b) whether establishment-respondents have the capability to provide the details asked. and 5) gross fixed capital formation of Health and Wellness industries.The VSS is a monthly survey that generates information on visitor characteristics and preferences useful in tourism planning and in deriving estimates of foreign exchange earnings from visitors. including foreign exchange earnings.intermediate inputs of industries engaged in Health and Wellness tourism.
employment. The data collected from these data sources are summarized based on the 1994 PSIC. using purposive sampling. they certainly can be reviewed for more appropriate disaggregation or possible inclusion of data items/questions that can generate the necessary information for the measurement of health 11 Normally. 12 The ASPBI is a nationwide survey of the NSO that covers all administrative regions of the country usi ng a one-stage stratified random sampling. . However. The preliminary release came out in April 2004 and the final tables were released by the NSO in June 2005. While the data sources cited cannot provide in general. employment and compensation for each of the major industry groups. they cannot segregate revenues from visitors and nonvisitors. which collects public health statistics emanating from barangay health stations.The DOH maintains a Field Health Service Information System. capital formation. hours worked. Information collected includes revenues. 4) Administrative and regulatory forms of the Department of Health (DOH) . The DOH also maintains the Hospital Operations and Management Information System which is a computer-based system for effective hospital management that contains admitting and billing records among others. The latest CPBI was conducted in August 2000 with the year 1999 as the reference period. and the Census of Philippine Business and Industry (CPBI). the final release in December 2005. the final results in February 2007. For the 2002 ASPBI (reference period 2001) the preliminary release came out in January 2005. the preliminary results came out in April 2007 with the final tables targeted to be released in the last quarter of 2007.but not directly from availment of health and wellness tourism services. for the 2005 ASPBI (reference period 2005).The NSO regularly conducts the Quarterly (QSPBI) and Annual (ASPBI) Surveys of Philippine Business Industries. etc. the information needed. these systems do not currently generate information for health and wellness tourism. compensation. The QSPBI collects quarterly data on gross revenue/sales. the preliminary release came out in June 2005. the CPBI is conducted every 5 years. cost. for the 2003 ASPBI (reference period 2003). 3) Establishment-based surveys of the NSO. The ASPBI12 collects the same information but only from a sample of establishments. One limitation of these data sources is that at present. A more detailed description and profiles of these establishment-based surveys/census were compiled by NSCB (2000). The CPBI 11 is a comprehensive collection and compilation of statistical information on the structure and level of economic activity of business establishments in the country.
one year after the issuance of E. employment and other variables associated with visitors from those pertaining to non -visitors. However. if the CPBI and ASPBI data could be processed at the 5digit PSIC level. barber shops. For example. caring for the mentally and physically handicapped. the pilot survey has not generated the response 13 needed to provide information on health and wellness tourism with some degree of adequacy. • EMPLOYMENT INCREASED SUBSTANTIALLY IN 2005 ! While the combined employment of the three groups of activities under health and wellness tourism barely moved between 1999 and 2003. V. Moreover. social work activities (853) and other service activities (930) derived from the CPBI and the ASPBI. hospital activities and medical and dental practices (851). there are also coverage limitations. both in terms of scope and classification. the information from the available data sources does not allow for the separation or revenues. in addition to the limitations on the data sources already mentioned. .and wellness tourism. it surged by 13. Subject to these limitation s. its share to total employment remained below one per cent. cost. less than 20 % of the establishments have responded.O 372 that created the public-private sector partnership to formulate a development strategy for the industry. Indicative Analysis So far. the social work activities and other service activities can be purified to exclude many of the economic activities now included under health and wellness tourism statistics such as child care services.2 percent from 2003 to 2005. beauty parlors and funeral and related activities (Table 1). below are some of the statistics on health and wellness tourism based on three PSIC groups namely. As work on generating statistics for health and wellness tourism is at its initial stages. charitable services. Hospital Activities and Medical and Dental 13 Two months after the deadline and despite commitments made during the consultative workshop.
namely. likewise indicated comparatively greater increases after EO 372. revenues of health and wellness tourism industries rose faster after EO 372.56 in 2005. • REVENUES ROSE BY 36. causing the Revenue to Cost ratio to continuously decline from 1. Prior to 2004. from 1. or the expenses incurred during the year whether paid or payable as defined in the CPBI and the ASPBI. Compared to revenue. the share of revenues of health and wellness tourism to the GVA of total private services. is still below 10 percent. revenues grew at slower rates than either Gross Value Added (GVA) of Total Private Services or Gross Domestic Product (GDP). 1. Hospital Activities and Medical and Dental Practices.1 % FROM 2003 TO 2005! As with employment. rising by 18.71 in 2001. the cost increased faster.65 and 1. Almost 80 percent of the growth in revenues between 2003 and 2005 came from Hospital Activities and Medical and Dental practices (Table 3). On the other hand. while increasing slightly between 2003 and 2005. • COST OF HEALTH AND WELLNESS SERVICES SOARED IN 2005! The cost. by 19.85 in 1999. respectively.72 in 2001 then to 1.61 in 2003 and 1. the bulk of the costs came from Hospital Activities and Medical and Dental Practices. remain at about 1. 1. If these statistics are indicative of the performance of the health and wellness tourism . Mining and Quarrying.86 in 1999 to 1.Practices constituted the b iggest employer among the three groups with more than 50 percent share and social work activities the smallest at just over one per cent (Table 2).6 % from 2003 to 2005 (Table 4).4 % from 2001 to 2003 and by 40.3 % from 1999 to 2001. This deserves careful scrutiny (Table 5).60 in 2003 and 2005. As with revenue and employment. Revenues however. The decline was caused mainly by the continuing decline in the Revenue to Cost ratio of the biggest component of health and wellness tourism.3% of GDP. close to the contribution of the smallest economic sector.
aside from the IAC-TrS and the TF. that the information shown is very preliminary and cannot be conclusively used as a measure of the performance and contribution of the Health and Wellness Industry in the country. Because of t e h collaborative work of NSCB and DOT. inter-agency committees are effective tools for coordination and provide the fora for a meaningful exchange of views and expertise and the resolution of statistical issues. the NSCB has also created an Interagency Committee on Tourism Statistics (IAC-TS) that in fact. Fortunately. These bodies serve as venues for discussion of technical and operational issues covering the sector. it is necessary to further strengthen the roles and the monitoring the commitment of these bodies.industry. it would be interesting to know if the 2005 trend was replicated in 2006 14 and if the trend is being sustained in 2007. Strengthening Coordination and Collaboration Mechanisms in the PSS At present. Based on the Philippine experience. . paved the way for the development of the PTSA. Nonetheless. In this regard. However. the other stakeholders have important roles to play. the Philippine Statistical System (PSS) must take on the challenge to enhance the health and wellness tourism statistics in the country. the IAC-TS and the TF have been supporting and cooperating in the joint activities. VI. 14 It would be possible to assess this because the NSO is conducting a 2006 CPBI. However. The member agencies of the IAC-TrS. It must be stressed however. the NSCB and the DOT are the two agencies with the most active role towards the measurement of health and wellness tourism in the country. these statistics show that it is possible to provide estimates of the importance of the health and wellness tourism industry to the entire economy. the Philippines has been actively participating in moving the TSA agenda at the international level. Institutional arrangements have to be agreed upon to address data gaps.
statistics require resources. households. the NSCB and the NSO should try harder to collect and disseminate the necessary health and wellness tourism statistics.VII. At the same time. . establishments and data source agencies from government must show greater willingness and to provide support to data collection efforts. Likewise. Finally. despite the availability of some data collection mechanisms. such as on foreign exchange earnings and clientele served. The NSO should be ready to produce statistics with lower levels of disaggregation or at least produce Public Use Files of its establishments surveys/censuses to allow researchers access to information on health and wellness tourism. stronger commitment is needed from concerned sectors in order to efficiently and effectively implement plans and agreements that have been formulated. This includes the willingness to provide data that have not been provided in the past. it is therefore imperative that both the government and the private sector develop the political will to invest in statistics. Concerned data compiling government agencies like the DOT. the PSS is not yet able to generate the data needed to adequately measure health and wellness tourism. tourism planners from both the private sector and government should develop the capacity to use statistics in their decision-making and policy formulation. And while collaboration and cooperation among the stakeholders exist. Concluding Remarks Obviously.
Tourism Satellite Accounts: Recommended Methodological Framework. National Statistical Coordination Board (2000). National Economic Development Authority (2000). National Statistical Coordination Board (2007). June 2002. Consultative Forum on the Pilot Survey on Health and Wellness To urism Statistics NEDA. Manila 1 -2 October 2001. Profile of Censuses and Surveys Conducted by the Philippine Statistical System. Remulla.2010 NSCB. An article in the publication “Best Practice in Tourism Satellite Account Development in APEC Member Economies” by the Asia-Pacific Economic Cooperation (APEC) Tourism Working Group.gov. Philippine Health and Wellness Tourism Program. Say (2002). World Tourism Organization and United Nations (2000).2010 NSCB. Westin Philippine Plaza. Republic of the Philippines (2007). Virola. Organization for Economic Cooperation and Development. Amoro and M. 24 April 2007. R. Department of Tourism (2007). Measuring the Contribution of Tourism to the th Philippine Economy: The Philippine Tourism Satellite Account. Organization for Economic Cooperation and Development. National Statistical Coordination Board (2006). NSCB. 1280.References Commission of the European Communities. United Nations and World Bank (1993). R. International Monetary Fund. National Statistics Office. Remulla. Amoro and M. Proclamation No.ph/data/technotes/index. Technical Notes for CPBI and ASPBI http://www.html Virola. M. Medium Term Philippine Development Program (MTPDP) 2004 . M. 8 National Convention on Statistics. Study on the Measurement and Generation of Statistics on International Trade in Services (Focus on Healthcare and Wellness/Medical Tourism Services) for Use in Trade Negotiations and as Data Support in the Formulation of National Positions. First Draft. Philippine Statistical Development Program (PSDP) 2005.census. Say (2001). L. Dealing with Data Shortfalls. . New York DOT... NSO. L. System of National Accounts (SNA) 1993 Commission of the European Communities. Convention Papers.
E.C.C. Summary of Activities under PSIC Codes 851. Philippine Central Product Classification (PCPC) and Philippine Standard Industrial Classification (PSIC) for Health and Wellness Tourism Services can be found in the Annex 2 of the project report on the "Study on the Measurement and Generation of Statistics on International Trade in Services with Focus on Health and Wellness Tourism Services .E. N.C SOCIAL WORK ACTIVITIES CHILD CARE SERVICES CARING FOR THE AGED AND THE ORPHANS CARING FOR THE MENTALLY AND PHYSICALLY HANDICAPPED REHABILITATION OF PEOPLE ADDICTED TO DRUGS OR ALCOHOL OTHER SOCIAL WORK WITH ACCOMODATION. SANITARIA AND OTHER SIMILAR ACTIVITIES PRIVATE MEDICAL ACTIVITIES PRIVATE DENTAL AND LABORATORY SERVICES PRIVATE CHILD CARE CLINICS PRIVATE MEDICAL. DENTAL AND OTHER HEALTH SERVICES. N. N. FUNERAL & RELATED ACTIVITIES SAUNA AND STEAM BATH ACTIVITIES SLENDERING AND BODY BUILDING ACTIVITIES MISCELLANEOUS SERVICE ACTIVITIES Not in the list Not in the list Not in the list Yes Not in the list Yes Yes Yes Not in the list Yes Not in the list Yes Not in the list Not in the list Not in the list Not in the list Not in the list Not in the list Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Health and Wellness Activity? a/ Health and Wellness Toruism Activities are all covered by this three groups of activities. N. N.C. SANITARIA AND OTHER SIMILAR ACTIVITIES PUBLIC MEDICAL ACTIVITIES PUBLIC DENTAL AND LABORATORY SERVICES PUBLIC MEDICAL. N.C. Correspondence between Health and Wellness Tourism Clusters. OTHER SERVICE ACTIVITIES WASHING & (DRY-) CLEANING OF CLOTHING & TEXTILE BARBER SHOPS ACTIVITIES BEAUTY PARLOR ACTIVITIES BEAUTY TREATMENT AND PERSONNAL GROOMING ACTIVITIES.E. DENTAL AND OTHER HEALTH SERVICES. CHILD-CARE ACTIVITIES (INCLUDING FOR THE HANDICAPPED) WELFARE AND GUIDANCE COUNSELLING ACTIVITIES VOCATIONAL REHABILITATION AND HABILITATION ACTIVITIES CHARITABLE ACTIVITIES OTHER SOCIAL WORK WITHOUT ACCOMODATION.E.C.E.Table 1.E. 853 and 850 a / PSIC Code 851 85111 85112 85113 85119 85121 85122 85123 85124 85129 85190 853 85311 85313 85314 85315 85319 85321 85322 85323 85324 85329 930 93010 93021 93022 93029 93030 93092 93093 93099 INDUSTRY DESCRIPTION HOSPITAL ACTIVITIES & MEDICAL & DENTAL PRACTICES PUBLIC HOSPITALS. OTHER HOSPITAL ACTIVITIES & MEDICAL & DENTAL PRACTICES. PRIVATE HOSPITALS.
000 31.087 1.468 2.000 11.7 4.7 3.000 Total Employment 2001 2003 130.000 32.229.8 0. only three are identified as Health and Wellness Activities 851 852 853 900 911 912 919 921 922 923 924 930 PSIC CODE (3-digit) 851 853 930 Health and Wellness* Health and Social Work Other Community. 2003 & 2005 * Classification of Major Industry Groups using the 1994 Philippine Standard Classification (PSIC) started only in 2001.9 1. Social & Personal Service b/ Activities Total Employment (Philippines) b/ a/ 1999 129.000 2005 145.852 2.315 1. employers and professional organizations Activites of Trade Unions Activities of Other membership Organizations Motion picture. Social. Table 2a.009 1.73% 17.7 -18. 2003 & 2005 b/ Labor Force Survey (October round). radio.881 212.912 90.011 * 29.3 13. museums and other cultural activities Sporting and Other recreational activities Other Service Activities * Out of 12 Industries (3-digit PSIC classification) in Health and Social Work and other community. Social & Personal Service Activities Total Employment (Philippines) * 0.11% 0.003.090.278 79.2 % Share to Employment of Health & Social Work and Other Community.4 4. Employment Data of Selected Health and Wellness Tourism Activities Activities in Health and Wellness Tourism Hospital Activities & Medical and Dental Practices Social Work Activities Other Service Activities Total Employment of Health & Social Work and Other Community.397 78.575 238.70% 17.73% Source: a/ Census of Philippine Business and Industry (CPBI).861 77. NSO 2001.553.221.525 211.000 Growth Rates (%) 1999 . Social & Personal Service Activities Hospital Activities and Medical And Dental Practices Veterinary Activities Social Work Activities Sewage and refuse disposal. 1999 and Annual Survey of Philippine Business and Industry 2001.01 2001 .03 2003 .0 0.9 131.711 1.875.2 -6.67% 20.955 1.3 -2.3 -0.000 30. Employment data in 1999 is still lumped in broader levels.28% 0.4 15.7 -0. sanitation and similar activities Activites if business. television and other entertainment activities News Agency Activities Library. Explanatory Table on the Industry Classification used in Employment Data Activities in Health and Wellness Tourism Hospital Activities & Medical and Dental Practices Social Work Activities Other Service Activities Health & Social Work and Other Community. social and personal service activities.Table 2.0 108.743 210.91% 0.143.05 0.3 -24. and Personal Service Activities . achives.
674 3.6 Source: Census of Philippine Business and Industry (CPBI). 2003 & 2005 Table 5.72 1.094 Growth Rates (%) 1999 . Revenue to Cost Ratio by Activity Activities Hospital Activities & Medical and Dental Practices Social Work Activities Other Service Activities Total 1999 1.104 30.35% 10. National Statistical Coordination Board Table 4.71 1.3 18.827 5.3 26.90 1.654.831.580 40.129.1 16.427 Cost ('000 Php) 2001 2003 19.11% 1.6 19.05 -7.498 1.886 43.105.6 -4.00% 1.78 1.6 -18.602.0 % Share to Gross Value Added of Total Private Services 12.26% Gross Domestic Product (GDP) Source: a/ Census of Philippine Business and Industry (CPBI).310 5.8 160.621 24.03 2003 .716 321.838 7.3 22.65 2005 1.906 Growth Rates (%) 1999 .03 2003 .952 263.511.03 2003 .2 34.1 -7.474 a/ 2005 53.243.2 14.965 42.3 -3.9 36.Table 3. Revenue Data of Selected Health and Wellness Tourism Activities Activities Hospital Activities & Medical and Dental Practices Social Work Activities Other Service Activities Total (in thousand pesos) Gross Value Added of Total Private Services b/ (in million pesos: at current prices) Gross Domestic Product (GDP).762 335.848.428 68.1 5. 1999 Annual Survey of Philippine Business and Industry 2001.86 Revenue to Cost Ratio 2001 2003 1.359.01 2001 .316.17% 9.61 1.6 36.553.1 33.01 2001 .8 28.291 587.420.62 1.239 5.717 21. Cost Data of Selected Health and Wellness Tourism Activities Activities Hospital Activities & Medical and Dental Practices Social Work Activities Other Service Activities Total 1999 16.905 Revenues (Php '000) 2001 2003 33.404 2.471 306. In million pesos: at current prices b/ 1999 29.324 50.05 11.5 -3.72 1.225 424.6 1.437.21% 9.709 545.2 3.881.8 -3.23% 1.6 -4.2 18.631.9 -5.035 520.2 3.0 39.80 1.9 29.1 10.88 1.856.571.337.574.352 556.366 2005 34.803 10.3 24.462.970.05% 1.374.8 -9.5 -18.01 2001 .4 40.2 a/ a/ Derived by dividing the Revenue data (Table 3) by the Cost data (Table 4) .2 -8.490 4.3 28.61 1.831.74 1.984 5.727.56 1. 1999 and Annual Survey of Philippine Business and Industry 2001.2 8.694 741.2 123.05 21.547.872.4 41.430 433.4 7. 2003 & 2005 b/ National Income Accounts.6 -0.494.473 9.60 Growth Rates (%) 1999 .078 25.976.768 13.166.402 17.509 9.85 1.
while compiled had their limitations. 2 and 4 in WTO) did not include same day visitors and other components of visitor consumption such as final consumption expenditures in kind. 1994 and 1998 Estimated Value Added of Tourism Industries (VATI) in the Philippines. Means of Transportation and Port of entry and Forms of Accommodation Available for Tourists 9 Table 7 10 Table 10 a/ Due to data constraints. not all tables prescribed by the World Tourism Organization (WTO) were compiled. Table 8 was established with the objective of estimating tourism ratios to eventually come up with Tourism Value Added (TVA). The other tables. Table 2 (Tables 1. 1994 Supply and Use Table of Tourism Industries and NonTourism Industries in the Philippines. 1994 and 1998 Production Accounts of Tourism Industries and Non-Tourism Industries in the Philippines. 1994 Estimated Tourism Ratio Based on the Tourism Final Demand.Table 7 (Table 6 in WTO) was short of establishing the linkage between tourism supply and internal tourism consumption. Table on Outbound Tourism (Table 3 in WTO) was not compiled. 1994 and 1998 Various Tourism Statistics (Physical Indicators) WTO TSA Table Description Number No Total tourism demand cross tabulated by equivalent tourism characteristic products and categories of demand Tables 1. but this still needs refinements to correct doubtful tourism ratios.Table 9 (Table 7 in WTO) did not include information on the number of jobs and status of employment. 1994 and 1998 Tourism Collective Consumption Expenditures in the Philippines. Table 3 (Table 9 in WTO) did not provide disaggregation by level of government and in Table 10 (also Table 10 in WTO) not all suggested sub-tables were compiled. 1994 and 1998 Employment Generated by the Tourism Industries in the Philippines. . 2 Total consumption expenditures cross and 4 tabulated by tourism characteristic products and type of visitors Table 9 Total collective consumption expenditures by type of tourism collective Non-Market Services GFCF of Tourism Industries cross tabulated by Type of Fixed Capital Formation VATI presented by Type of Tourism Characteristic Industries Table derived from the 1994 Input-Ouput (IO) Accounts 2 3 4 Table 8 5 No equivalent Table 5 6 7 Table 6 Table derived from the 1994 Input-Ouput (IO) Accounts 8 No equivalent Tourism Ratio was computed by comparing Internal Tourism Consumption expenditures with the final demand for the tourism industries Employment Classified by type of Tourism Industries Includes Tourist Arrivals. 1994 and 1998 Tourism Consumption Expenditures in the Philippines. 1994 and 1999 Gross Fixed Capital Formation of Tourism Industries in the Philippines. tourism social transfers in kind other than individual non-market cultural services and tourism business expense. Table 4 (Table 8 in WTO) classified capital goods on the basis of available disaggregation.Annex 1 Tables Generated in the Philippine Tourism Satellite Accounts (PTSA) a/ Table Number 1 Table Title Tourism Demand in the Philippines.
Health and Wellness Tourism Health and wellness tourism comprises the activities of persons traveling to and staying in places outside their usual environment for not more than one consecutive year for health and wellness purposes not related to the exercise of an activity remunerated from within the place visited (UNWTO and DOT) . 2006. REFERENCE PERIOD Report should refer to the period from January 1.: _________________ DUE DATE Duly accomplished form should be submitted ON or BEFORE MAY 31. 2005 to December 31. 2007 * . INQUIRIES For inquiries please contact Name: _________________________ or E-mail us at: ____________________________ Tel.Annex 2 Survey Form of the 2006 Pilot Survey on Health and Wellness Tourism COVER PAGE 2006 Pilot Survey on Health and Wellness Tourism* OBJECTIVE The Pilot Survey on Health and Wellness Tourism aims to gather information on health and wellness tourism providers. This information will be used as basis for informed policy decisions and advocacy for legislative support for the health and wellness tourism sector. No.
physical check-ups and can be provided in general practice 9312 Includes OFW who are permanent residents of the Philippines Includes Overseas Filipinos (OF) holding Philippine Passport who are permanently residing abroad and expats. Social Services with accomodation e. a b Total From Local Client a From Foreign Client b 9311 Hospital Services (Includes surgical. 2. n. Other Cost (other cost items not included under Items a.c.d) + (2)] * . reducing and slimming salons. Hospital Services b.e. Location (City/Province) 1. Other beauty treatment services. 9723 9729 Other beauty treatment services. Does your establishment provide any of the services listed below? Please tick ( √ ) only one for Primary Output.c. other remuneration plus the actual or estimate of professional fees.e. Hospital Services b. Physical and Well-Being Services f. Revenue from Health and Wellness Tourism Services (CY 2005) In PhP a. sauna and steam bath) Part IV Cost Cost refers to cash paid and payable for goods and services incurred. Medical and Dental Services c. 9319 Other Human Health Services (Includes deliveries and related services. massage (exclusing therapeutic massage) and the like (e. ( Includes personal hygiene.b and c above) 3. Revenue from Health and Wellness Tourism Services (CY 2005) In PhP a. 1. depilation. psychiatric services and other hospital services delivered under the direction of medical doctors chiefly to in-patients. fitness centers. Other Human Health Services d. body care. treatment with ultraviolet rays and infra-red rays and other hygiene services) .REVENUE Revenue refers to cash received and receivables for services rendered. restoring and/or maintaining health Medical and Dental Services (Includes general 1 2 3 medical . Sub-Total [(d) = (a) + (b) + (c )] 2.g Turkish baths. Please include costs of all branches. Other beauty treatment services. Supplies and Materials (Incl. rehabilitation. Total Cost [(3) = (1.e. Social Services with accomodation e. Part I . Cost/ Expenses incurred to the following items (In PhP) 9331 2005 2006 a.medical. aimed at curing. Company Name (or Name of Establishment) Part III . Please include revenues of all branches. nursing services. Drugs & Medicines) c. ð Page 2 PLEASE ENTER THE DATA REQUESTED ON THE APPROPRIATE SPACE OR BOX.c. Tick any applicable service/s for "Secondary Output" PCPC Code Output Description PSIC Code Primary/Main Output Secondary Output 2. Machineries and Equipment d. Other Human Health Services d. physiotherapeutic and paramedical services provided by authorized persons. Medical and Dental Services Total From Local Client a From Foreign Client b Part II . Primary/main output refers to the output that contributes the biggest or major portion of revenue of the establishment c.ð Page 1 PLEASE ENTER THE DATA REQUESTED ON THE APPROPRIATE SPACE OR BOX.GENERAL INFORMATION ABOUT THE ESTABLISHMENT 1.Includes salaries and wages. specialized medical and dental services consisting of the prevention of physical and/or mental diseases of general nature thru consultations. other than medical doctors)4 Social Services with accomodation (Includes social assistance services involving round the clock services by 5 residential institutions) Physical and well-being services (Includes physical well-being services such as those delivered by solarioums.OUTPUT OF THE ESTABLISHMENT in 2006 Output refers to the goods and services produced in the Philippine economy. Compensation of Employees * b. Physical and Well-Being Services f. gynecological. n. spas. n. commissions.
slendering and body-building services (PSIC code 93093) and other physical and well-being services. Part V .Philippine Central Product Classification Part III . nec (PSIC code 93099) ACRONYMS PSIC . etc. ear-nose-throat.Cost Part V . It includes employees of all branches 2005 Average Total Employment 2006 Specialized medicine refers to branches of medicine devoted to particular practice areas. Includes public medical services (including perdiculture and laboratory services) under PSIC code 85112. n.Employment Part VIII . and Private medical services (inc.e. physiotherapists and paramedical personnel (part of PSIC code 85119 and 85129). Name: _____________________________________ Title/Designation: ____________________________ E-mail Address: _____________________________ Signature: ________________________ Date: ____________________________ Contact Number/s: _________________ .c (part of PSIC code 85190) 5 This includes caring for the aged (PSIC code 85313) and rehabilitation of people addicted to drugs or alcohol (PSIC code 85315) 6 Part II .PATIENT INFORMATION Local Total Number of Patients in 2006 Foreign Total NOTES: 1 General medicine refers to the branches of medicine dealing with the general care and treatment of the diseases of adults who have not yet reached old age.General Information Includes private child care clinics (PSIC code 85124). cardiology. Your comments will serve as valuable inputs in the updating of the Philippine Central Product Classification) This includes sauna and steam bath services (PSIC code 93092). Includes public specialized medical services that is part of PSIC code 85111. other services provided by midwives. e. residential health facilities services other than hospital services (part of PSIC code 85112) and other human health services. laboratory services) under PSIC code 85122.g. 2 Part VI . 85119. private ambulance services (part of PSIC code 85119). and private specialized medical services that is part of PSIC code 85121 and 85129 3 Dental medicine refers broadly to diagnosing and treating dental problem. proctology.Revenue Part IV . public ambulance services (part of PSIC code 85129). podiatry.Philippine Standard Industrial Classification PCPC . nurses. ophthalmology.CERTIFICATION I hereby certify that this report for the period ________________ to ________________ has been completed as accurately as the records of this establishment allow and with the best estimates in some instances.n. Includes public dental and laboratory services with PSIC code 85113 and private dental and laboratory services with PSIC code 85123 4 Part VII .Output of the Establishment (Additional comments to improve the description of services/output will be appreciated.EMPLOYMENT Average Total Employment (ATE) is the average total number of persons who worked in or for this establishment.COMMENTS ON THE QUESTIONNAIRE Part I .ð Page 4 ð Page 3 PLEASE ENTER THE DATA REQUESTED ON THE APPROPRIATE SPACE OR BOX.Patient Information Part VI .
physical check-ups. aimed at curing.Hospital Services This includes: surgical services delivered under the direction of medical doctors chiefly to in-patients.aimed at curing. pharmaceutical and paramedical services.. ambulance services.Private Hospitals. etc. medical services delivered under the direction of medical doctors chiefly to in-patients. Specialty Clinics 9312 . and various medical services. dental services. diagnosis. diseases or anatomical regions. restoring and/or maintaining the health of a patient.consultations. insulin therapy. etc.Private medical activities .Public medical activities 85122 . etc.General medical services This subclass includes: services consisting of the prevention. 931211 . clinics attached to firms. nursing services. neurology and psychiatry. classified in 93192. surgical consultation services.Other hospital activities and medical and dental practices. laboratories. aimed at curing. other hospital services delivered under the direction of medical doctors chiefly to in-patients. restoring and/or maintaining the health of a patient. gynecologyobstetrics. classified in 93123. classified in 9312.e. 85112 . These services are not limited to specified or particular conditions.Private hospitals. Health and WellnessTourism Classification Clusters Based on EO 372* a. classified in 93199.c b. n.Public Hospitals.Medical and Dental Services 93121 .Private medical services 93122 . analysis Thisand interpretation ofinclude services of medical subclass does not medical images (X'ray.Public hospitals.Specialized medical services This subclass includes: consultation services in pediatrics. such as dialysis. radiation treatment and the like. Hospital care and treatment PAGE 1 PSIC** PCPC** 9311 . chemotherapy. restoring and/or maintaining the health of a patient. psychiatric services delivered under the direction of medical doctors chiefly to in-patients. restoring and/or maintaining the health of a patient. aimed at curing. rehabilitation services delivered under the direction of medical doctors chiefly to in-patients. laboratory and technical services including radiological and anaesthesiological services. such as: . sanitaria and other similar services 93112 . They can be provided in general practitioner's practices and also delivered by out-patient clinics. aimed at curing. gynecological and obstetrical services delivered under the direction of medical doctors chiefly to in-patients. restoring and/or maintaining the health of a patient. . This subclass does not include: services delivered by hospital out-patient clinics. restoring and/or maintaining the health of a patient. sanitaria and other similar services 85111 . Sanitaria and Other Similar Activities 85190 . military hospital services. Sanitaria and Other Similar Activities 85121 . treatment services in out-patients clinics. 93111 . These services comprise medical. schools. aimed at curing.Annex 3. prison hospital services. respiratory treatment. and treatment by doctors of medicine of physical and/or mental diseases of a general nature.Public medical services 931212 .
Public dental and laboratory activities 85123 . services provided by physiotherapists and other paramedical persons (including homeopathological and similar services).Private dental and laboratory activities 85124 .physiotherapists and paramedical personnel PSIC** 85119 . endodontics and reconstruction.Public medical.Private medical. dental and other health activities.Public specialized medical services 93122 . dental and other health activities. such as those attached to schools. physiotherapy and paramedical services are services in the field of physiotheraphy. crossbite. including dental surgery even when given in hospitals to in-patients.e. treatment of protruding teeth.e. overbite. These services are provided by authorized persons.. such as routine dental examinations.c. 931921 . dental and other health services. n. etc..c. nutrition.Private dental and laboratory services 9319 . dental and other health services.Private specialized medical services 93123 .Private child care clinics 85119 . etc. firms. dental and other health activities.services in a field of nursing care (without admission).Private child care clinics 931919 . n. 931911 . 931231 . the provision of maternity care. advice and prevention for patients at home.c. homes for the aged.Public medical. with or without resuscitation equipment or medical personnel.Deliveries and related services.Ambulance services This subclass includes services involving transport of patients by ambulance.Private ambulance services Part of 85119 . ergotherapy. Note : These dental services can be delivered in health clinics.e.Other human health services 93191 . physiotherapeutic and para-medical services This subclass includes: services such as supervision during pregnancy and childbirth. acupuncture.supervision of the mother after birth.g. nursing services.Private medical.e.Public medical..other than medical doctors. etc.Dental services This subclass includes: orthodontic services. preventive dental care. diagnosis and treatment services of diseases affecting the patient or aberrations in the cavity of the mouth. occupational therapy. e.homeopathy. 85129 . nurses.c. They cover services in the field of general dentistry.Private medical. etc. n.c Part of 85129 . 93192 . 85129 .Other services provided by midwives. etc. n. services in the field of oral surgery. n. children's hygiene. dental and other health services.e. other specialized dental services.Public dental and laboratory services 931232 . as well as in own consulting rooms..c . paedodontics. in the field of periodontics. e. treatment of caries.Annex 3 PAGE 2 Clusters Based on EO 372* PCPC** 931211 .Public ambulance services 931922 .e. 85113 . n. and services aimed at the prevention of dental diseases. speech therapy.g.
created by virtue of EO 372 * Highest revenue was the basis for coming up with the correspondence between clusters and the PCPC/PSIC.Private medical. n. This subclass does not include: combined lodging and medical services.Sauna and steam bath services 97232 .e. 85190 .Social Services with accomodation 93311 . This subclass does not include medical treatment services.c.Beauty treatment and personal grooming This subclass includes personal hygiene.Physical and Well-Being Services This subclass includes physical. n. reducing and slimming salons.Rehabilitation of people addicted to drugs or alcohol 85313 . n.Other beauty treatment services.dental testing services. 933111 . magnetic resonance imaging (MRI).Slendering and body.e. fitness centers.e.Annex 3 PAGE 3 Clusters Based on EO 372* PCPC** PSIC** c.c services provided by medical laboratories. dental and other doctor located in the premises.c.Slendering and body building services 97239 . nec depilation. and 93193 if withoutsupervision by a medical doctor.Public medical. body care. hearing or speaking.g.medical analysis and testing services. 97231 .Rehabilitation of people addicted to drugs or alcohol * Based on the Committee on Health and Wellness.e.other human health services. classified in 931. nec 93029 .c Part of 85129 .Welfare services delivered through residential care institutions to elderly persons (and persons with disabilities) This subclass includes: social assistance services involvinground-the-clock care services by residentialinstitutions for elderly persons. spas. X-ray. treatment with ultraviolet rays and infra-red rays and other hygiene services.building activtities 93099 . under the PPP Task Force on Globally Competitive Industries. ultrasound.e. n..classified in 93110 (Hospital services) if under thedirection of medical doctors.. classified in 931 d.Public medical activities services provided without the supervision of a medical Part of 85119 . Wellness and Spa Centers 93193 . services provided by blood.Residential health facilities services other than hospital services This subclass includes combined lodging and medical Part of 85112 .Sauna and Steam Bath Activities 93093 .e. This subclass does not include medical treatment services. well-being services such as delivered by sauna and steam baths. Retirement and rehabilitative 9331 . n. health activities.Caring for the aged and orphans 933194 . nec 9729 .c 93199 . massage (excluding therapeutic massage) and the like. n. sperm and transplant organ banks. solarium. 93092 . activities. e.c. .diagnostic imaging services without analysis or interpretation.Caring for the aged and orphans 85315 .Other hospital activities and medical and This subclass includes: dental practices. etc.Other physical well-being services.Other physical well-being services.Other human health services. dental and other health services. 9723 . social assistance services involvinground-the-clock care services by residentialinstitutions for persons with physical orintellectual disabilities including those havingdisabilities in seeing.
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